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Home My WebLink AboutPermit Building 2006-6-12 f/ Status Issued 225 Fifth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00507 ISSUED: 06/12/2006 APPLIED: 05/01/2006 EXPIRES: 12/12/2006 VALUE: $ 66,132.00 * , '" SITE ADDRESS: 4454 JASPER RD ASSESSOR'S PARCEL NO.: 1802052405200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Owner: DAVE ROSS Address: 4454 JASPER RD SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 27.00 25,00 0.00 Street Improvement,s: Storm Sewer Available: Special Instruction: Notes: Storm drainage piped to curb face Residential Phone Number: 541-746-4864 . "'''.' rer!Jlres you to I CONTRACTOR INFORMATlON'ln Utility . ,-,,, .~:, I oI~~e rules are set forth '," . .~-'!C01CG10 throLjce!l.s,~195:::.E{,:rn!ration Date Phone U_~J. l";u may oolain copies of the rules by calLng the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344\ BUILDING INFORMATION I R-3 # of Stories: 1 Height of Structure 18.50 Type of Heat: aseboard Electric Water Type: Electric Range Type: Electric Energy Path: Path I Sprinkled Building: nla 668 VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVEL0PMENff'INFORMATlON I THIS PERMIT SHALL EXPIRE IF THE WOR:~EQUIRED PARKING O.v,erla){r5isi'::D UNDER THIS PERMIT IS NOl-otal: # ~t.E~.~!Jr:.r.~~l!iqcJ.:R IS ABANDONED FOR Handicapped: Pav,ed'DriverRgd:JERIOD Compact: ti.", lu\i w,., I . % of Lot Coverage: 16.80 'r I PUBLIC IMPROVEMENTS I Fully Improved Yes Sidewalk Type: DownspoutsfDrains: Curbside 5' Curb and Gutter Paee 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Dwellines Tvpe of Construction V Wood Frame Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Building Permit Dryer Vent Exhaust Hoods Fire Fee - Residential Fixture MinimumlAdjustment Mechanical Plan Review Minor - Planning SDC SanitarylStorm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Vent Fan . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00507 ISSUED: 06/12/2006 APPLIED: 05/01/2006 EXPIRES: 12/12/2006 VALUE: $ 66,132.00 I Valuation DescriotionJ $ Per Sq Ft or multiplier $99,00 Square Footage or Bid Amount 668.00 Value Dale Calculated Total Value of Project $66,132.00 $66,132.00 05/01/2006 Fpp< PiWLI Amonnt Paid Date Paid Receipl Number $284.02 $10,00 $61.64 $46,64 $436,95 $6,00 $9,00 $33,40 $56,00 $24,00 $112,00 $6,14 $122,74 $45,00 $6,00 5/1/06 6/12106 6/12/06 6/12106 6/12/06 6/12/06 6112/06 6112106 6112/06 6112/06 6/12106 6112/06 6112/06 6/12/06 6/12/06 1200600000000000573 1200600000000000845 1200600000000000845 1200600000000000845' 1200600000000000845 1200600000000000845 1200600000000000845 1200600000000000845 1200600000000000845 1200600000000000845 1200600000000000845 1200600000000000845 1200600000000000845 1200600000000000845 1200600000000000845 Total Amount Paid $1,259,53 I Plan Reviews I Initial Review 05/02/2006 05/02/2006 APP LLH PIsoniue Review 05/02/2006 05/24/2006 APP TAJ Public Works Review 05/02/2006 05/03/2006 APP CAS Storm drainage piped 10 curb face 5/3/06 CAS Structural Review 05102/2006 05/25/2006 WE RWC notified ownerlcontrator 6/1/06 Structural Review 06/06/2006 06/06/2066 RWC To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. II?"m~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed, Paee 2 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2006-00507 ISSUED: 06/12/2006 APPLIED: 05/01/2006 EXPIRES: 12/12/2006 VALUE: $ 66,132.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Final Electric: When all electrical work is complete, Footing: After trenches are excavated. Foundation: After forms are erected hut prior to concrete placement, Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials, Framing Inspection: Prior to cover and after all rough in inspections have heen approved, Walllnsulation: Prior to cover, Ceiling Insulation: Prior to cover, Final Building: After all required inspections have heen requested and approved and the huilding is complete, Underf100r Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumhing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing, Sanitary Sewer Line: Prior to filling trench and including required testing, Storm Sewer Line: Prior to filling trench. Final Plumhing: When all plumhing work is complete, Underfloor Mechanical. Prior to insulation or decking and including required testing, Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has heen connected to a minimum or one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete, Rough Electric: Prior to Cover Paee 3 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00507 ISSUED: 06/12/2006 APPLIED: 05/01/2006 EXPIRES: 12/12/2006 VALUE: $ 66,132.00 By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project, I further agree to ensure that all required inspections are requested at the proper time. that each address is readable frnm the street. that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all tiC~C~~(l Owner or Contractors Signature 10 Paee 4 of 4 It> ~ \d, - 0(., Date CITY OF alNGFIELD SYSTEMS DEVELOPME&ORKSHEET JQURNAL OR JOB NUMBER: COM2006-00507 NAME OR COMPANY: Dave Ross LOCATION: 4454 Jasper TAX LOT NUMBER: 1802052405200 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF' 668 LOT SIZE (SF): 1. STORM DRAINAGE 9600 <FJ ~ Cl o u ~ !:: <FJ 6 I~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I . CHARGE I I 380.00 I $0.323 = I $122.74 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F. I x I COST PER S.F. I x I DISCOUNT RATE I I 0.00 I I $0.323 I 50% I = I ITEM 1 TOTAL - STORM DRAINAGE SDC 5122,74 I UANlTARY SEWER - CITY DISCOUNT $0,00 $122.74 1070 A. REIMBURSEMENT COST: I NUMBERO OF DFU's I x B. IMPROVEMENT COST: I NUMBEROOF DFU's I x $19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $25.07 50.00 11091 I 11092 I =, 50,00 = , 50.00 J. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFACTORI I 9.57 i 0 I I $19.09 I 1.00 I 50,00 11093 B. IMPROVEMENT COST: I I ADT TRIP RATE I x I NUMBER OOF UNITS I x I COST PER TRIP x INEWTRIPFACTORI I 9.57 I $84.19 I 1.00 I $0.00 11094 ITEM 3 TOTAL - TRANSPORTATION SDC =, $0.00 I 4. SANITARY SEWER - MWMr. A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 $82.03 = $0,00 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I I $865.31 = $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $0.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $0.00 - I' SUBTOTAL (ADD ITEMS 1. 2,3. & 4) = , 5122.74 5. ADMINIST"ATIVE FEE: I I SUBTOTAL x 1 ADM. FEE RATE I~ CHARGE I $122.74 I 5% I $6.14 TOTAL SANITARY ADMINISTRATION FEE: 6.14 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 .Jp078 Cheryl Slaymaker 5/3/2006 TOTAL SDC CHARGES = $128.88 I PREPARED BY DATE I . . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES " UNIT EQUlV ALENT = DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) NO, OF : 'IXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 1 1 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 !LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 1 1 3 = 0 CLOTI1ESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 .MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiAURESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTlAL BAR 1 1 1 = 0 IURINAL. STALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 1 1 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 -EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single: family dwelling W1it (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE [ YEAR CREDIT RATFJ$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 I BEFORE 1919 $5.29 (Enter I for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 0 I 1980 $5.19 (Enter I for Ycs, 2 for No) I 1981 $5.12 BASE Y~ 1979 I 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (W APPLICABLE) I 1984 $4.63 VALUE /1000 CREDIT RATE I 1985 $4.40 $0.00 x $5.29 ~ , $0.00 I 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AITER ANNEXA TlON) I 1988 $3.22 VALUE / 1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 0 I 1990 $2.25 I 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT = $0.00 I 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0.05 e" } " " " " , ." . Construction Contractors Board 700 Summer St NE Suite 300 PO BOI 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit#: CO/ll12:." b -00S-07 Address: LjLlS-Lf M JAsfL-tL 12-() b/;'Z--/o6 Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701,055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued, This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701,010(7), need not submit this statement. This statement will be filed with the permit, Fill in the app.up.:ate blanks and initial boxes 1 and 2. and either box 3A or 3B: Jo:l. ~2. I own, reside in, or will reside in the completed structure, I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion, o 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR gi 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor. I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to, Property Owners ahont Construction Responsibilities 00 the reverse side of this form. ~ ~ ~U. L~ 1~-alP ' ~Signature o;XpPlicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 A(C~n'rrng ~~'l(tuhJi" (Q)wnnG~nn~Il"~n CC!~Il"~(C~lIJ)Il"? ! 4 ...1. ',.. ," \... _ I . INFORMATION NOTICE TO PROPERTY OWNERS , \ .\ ABOUT,CONSTRUCTION RESPONSIBILITIES , , NOTE: This Information Notice to Properly Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature, If you are acting as your own contractor to construct a new home or make a substantial improvement to an exisling structure, you can prevent many problems by being aware of the following responsibilities and concerns. lEmpHoyer RespolIlsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be ':employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer. you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees, For more information, call the Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes---. on the wages of all employees, For more information, call the Oregon Employment Department at 503-947.1488, . '...... The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax, To file for a BIN, call 503-945-8091 or www.dor.slate.or.us/formsnav.hlmll for the appropriate forms, Workers' Compensation Insurance: As an employer. you are subject to the Oregon Workers' Compensation Law. and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensalion insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information. call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815, "- U.S. Internal Revenue Service: As an employer. you must withhold federal income tax from employees' wages~ You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number. call1he IRS at 1-800-829-4933 or visit their web site at wv.,w.irs.l!ov, OtllneIr lReslPomsftlbftllities 21lull Areas of COlllcems Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be broughl to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools. paint over spray. water damage from pipe punctures. fire or work that musl be redone. Time: Make sure you have sufficient time to supervise your employees; Expertise: Make sure you have the skills to' act as your own generai66ritra~tor, to coordinate the work of rough-in and finish trades. and to notify building officials as the al'l"VI',;ate times so they can perform the required inspections, If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140. Salem. OR 97309-5052, Property _ owner,doc 06-01-04 225 Fifth Street Springfield;'Oregon 97477 541-726~3759 Phone . L~.... WiL~ .'. . ~ . ~._. .., , c;;a of Springfield Official Receipt _elopment Services Department Public Works Department. Job/Journal Number COM2006-00507 COM2006-00507 COM2006-00507 COM2006-00507 COM2006-00507 COM2006-00507 COM2006-00507 COM2006-00507 COM2006-00507 COM2006-00507 COM2006-00507 COM2006-00507 COM2006-00507 COM2006-00507 Payments: Type of Payment Check cReceintl RECEIPT #: Date: 06/12/2006 1200600000000000845 Description Plan Review Minor - Planning Building Permit Fixlure Vent Fan Exhaust Hoods Dryer Venl Minimum/Adjuslmenl Mechanical -Mechanical Issuance Fee- Slorm Sewer - 1st 50 Feet + 8% Slale Surcharge + 10% Administrative Fee Fire Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Slorm Admin Paid By DA VID ROSS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1694 In Person Payment Total: Page I of I 9:57:43AM Amount Due 112.00 436.95 56.00 6.00 9.00 6.00 24.00 10.00 45.00 46,64 61.64 33.40 122.74 6.14 $975,51 Amount Paid $975.51 $975,51 6/1212006